Motor Neuron Disease Unit, Department of Anatomy, School of Medical Sciences, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Dementia Research Unit, Department of Anatomy, School of Medical Sciences, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Am J Pathol. 2018 Jun;188(6):1447-1456. doi: 10.1016/j.ajpath.2018.03.002. Epub 2018 Mar 22.
Amyotrophic lateral sclerosis (ALS) is a rapidly progressing and fatal disease characterized by muscular atrophy because of loss of upper and lower motor neurons. Histopathologically, most patients with ALS have abnormal cytoplasmic accumulation and aggregation of the nuclear RNA-regulating protein TAR DNA-binding protein 43 (TDP-43). Pathogenic mutations in the TARDBP gene that encode TDP-43 have been identified in familial ALS. We have previously reported transgenic mice with neuronal expression of human TDP-43 carrying the pathogenic A315T mutation (iTDP-43 mice), presenting with early-onset motor deficits in adolescent animals. Here, we analyzed aged iTDP-43 mice, focusing on the spatiotemporal profile and progression of neurodegeneration in upper and lower motor neurons. Magnetic resonance imaging and histologic analysis revealed a differential loss of upper motor neurons in a hierarchical order as iTDP-43 mice aged. Furthermore, we report progressive gait problems, profound motor deficits, and muscle atrophy in aged iTDP-43 mice. Despite these deficits and TDP-43 pathologic disorders in lower motor neurons, stereological analysis did not show cell loss in spinal cords. Taken together, neuronal populations in aging iTDP-43 mice show differential susceptibility to the expression of human TDP-43.
肌萎缩侧索硬化症(ALS)是一种迅速进展和致命的疾病,其特征是由于上下运动神经元的丧失而导致肌肉萎缩。组织病理学上,大多数 ALS 患者的核 RNA 调节蛋白 TAR DNA 结合蛋白 43(TDP-43)存在异常的细胞质积累和聚集。编码 TDP-43 的 TARDBP 基因中的致病性突变已在家族性 ALS 中被鉴定出来。我们之前曾报道过携带致病性 A315T 突变的人 TDP-43 在神经元中表达的转基因小鼠(iTDP-43 小鼠),在青少年动物中表现出运动功能早期受损。在这里,我们分析了老年 iTDP-43 小鼠,重点研究了上运动神经元和下运动神经元中神经退行性变的时空特征和进展。磁共振成像和组织学分析显示,随着 iTDP-43 小鼠年龄的增长,上运动神经元呈分级丧失。此外,我们报告了老年 iTDP-43 小鼠进行性步态问题、严重的运动功能障碍和肌肉萎缩。尽管存在这些缺陷和下运动神经元中的 TDP-43 病理紊乱,但立体学分析并未显示脊髓中有细胞丢失。总之,衰老的 iTDP-43 小鼠中的神经元群体对人 TDP-43 的表达表现出不同的易感性。